The URL can be used to link to this page

Home My WebLink About3311-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...A'+~.,.~....~.¥.~..~.. ............................... '.~..~... Street ~o~ No ...... ~ ....... B~ock No ..... ~ ......... Lot No .~ .................... ~.?.~.o...~:~,.~.... conforms substanhally to the Application for Budding Permit heretofore filed in thru office"dated ....................... ~.O..~..~...~..4 ............ , 19..6....~. pursuant to wh,ch Budding Perm,t No. ~.~..~.~.. dated .................. .l~.q.~..e..~...~.....~.~ ......... , 19...~.~..., was ,ssued, and conforms to all of the requ,rements. of the applicable prows~ons of the law The occupancy for which this certificate ~s i~sued is ........ ........................... ~..m..z...z.~.~....~.~...m..~.o...~? ................................................................................ ~ .... The certificate is issued to ...... ~i,el:~/littrx..~ll~.~l ........................................................................ (owner, lessee or tenant) of the aforesaid budding FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3311 Z Permission is hereby granted to: ........... ~e.~..~..~.~.~ ................................... .......................... ~}.~.~.~i~o,~.~. ................................... to .~:lct..~m..a4ckLf~Lon..o~..~z~.~tat~m6..l~us~sa..bu~t:LdZng ................................ at premises located at ...~l/.~...~&;[~...~.~ ......................................................................................... .......................................... ~.~.~ .o. ~.~.,..... !~.: L.. .................................................................................. pursuan,t to application deted .............................. Nl~'~,.....]-b~ ........... , 19..~6.., and approved by the Building Inspector. Fee $~.~.t~. .............. Building Inspector FO]~NI NO. 1 TOWN OF SOUT~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ..... ~..(...~.. ............ ,19.~.~. 19 ........ Permit No ................................ Approved ........................................ , Dmsop~ roved a/c ....... .~.-.........-~ .................. ................................ ................................. Application No. ~> '~ ~/ 1 ....... APPLICATION FOR BUILDING PERMIT Date November t~ 19..6...6. ..... INSTRUCTIONS o Th,s application must be completely filled ~n by typewriter or fn ink and submitted ~n duplicate to the Buildin, Inspector. b Plot plan showzng location of lot and of buildings on premises, relationship to adjoining premises or public streets o: areas, and giving a detailed description of layout of propertymust be drawn on the d~agram which is port of this application c The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sucl permit shalJ be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or m part For any purpose whatever unhl a Certificate of Occupanc,. shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the ,ssuance of a Budding Permit pursuant to th- Building Zone Ord,nance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The opphcant agrees to comply with all applicable lows, ordinances, building code and regulations. (Signature of apphcant, or name, if a corporation) (Address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde, ................................................ O~:~e.~ ................................................................................................................................. Name of owner of premises ..H~.~m~,n...H~...~..~.~.~ ............................................................................................................... If applicant ~s a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No' . ......... ~ ...................... Lot No:~ ........... Street and Number .... ~../..~.......~...8:.Jr.~....~.a.~ ....... .~..9.1~...t..~...O..]r.~ .................................................................................... Mumcipality 2. State exmting use and occupancy of premises and intended use and occupancy of proposed construction: a Ex~st,ng use and occupancy ..... .~..~..~.~...~..e..s.~....b..~..~.l..~g ..... .(A.~...t.~..q.~..~.~.). ..................................................... b. Intended use and occupancy .......... $~m~...Ig.J.~b..~.d~t.i.~io~ ........................................................................ 3. Nature of work (check which applicable): New Budding .................. Addition ....~ ...... Alteration .......~....:~..... Repair .................... Removal .................... Demohhon .................... Other Work (Describe) .................................... 4. Eshmated Cost ...~..,)~.0D...~. ....................................... Fee ...~. ................................................................................... (to be prod on fihng th~s application) 5 If dwelhng, number of dwelling units ............................ Number of dwelling umts on each floor .......................... If garage, number of cars ......................................................................................................................................... 6 If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7 D~mens~ons of ex~stmg structures, if any: Front ..........................Rear .......................... Depth .......................... Height .......................... Number of Stones ............................................................................................................ D~mens~ons of same structure w~th alterahons or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. D~mens~ons of entire new construction: Front ......... 2,0 .............. Rear ........... ~,0 ............ Depth ...~,.,.,q. ................. Height ............................ Number of Stones .... ..o.~.~. ................ 0 S~ze of lot. Front ............................ Rear ............................ Depth ................................ 10 Date of Purchase ........................................................ Name of Former Owner ...................................................... 11 Zone or use d~stnct m which premises are s~tuated ....... !.q~!!...ct.$S:~ .................................................................... 12 Does proposed construction wolate any zomng law, ordinance or regulahon~ ..... ~O .......................................... 13 Name of Owner of prem,ses ..~...e.~.~...a:.?r....~..e..~?..~.~..l~ ..... Address ........ ~.o...~..t.~.o...]...ct:. ................. Phone No .................. Name of Architect ...................................................... Address ............................................ Phone No .................. Name of Contractor ..... ~l.,l~.~.C~r.~h..~r.~,.~,hW.qh,l, Address ........ ~p.12~ho'l cl. ................. Phone No .................. PLOT DIAGRAM Locate clearly and d~stinctly all buddings, whether existing or proposed, and red,cate all set-back dimensions fro property hnes. Give street and block numbers or description according to deed, and show street names and ind~co whether ~nterior or corner lot. STATE OF NEW YORK, S S COUNTY OF ...S. uf£olk .......... ~ ........................................... ~tB.~..~e~.T:J..~. ................... be,rig duly sworn, deposes and says that he is the applica (Name of indwidual signing apphcation) above named. He ~s the ............................. .0.W~ftZ'. ........................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and f thru appl~cahon; that all statements contained m th~s application are true to the best of his knowledge and beh, and that the work wdl be performed in the manner set forth mthe. apphcation filed therewith Sworn tobeforemethis ................... ~' ......... ]~~ .)~ ~.. day of ................... ~o~e~e~ ..... 19...6fi ~ Pubiic~....~.,.../~Countv '' .... (S,g~'~ of ~pl~ .......................... Nota~ ~ t,~,21OffA r~Zb;T NO 52-323312J S;h~lk Gount~ Term ~plres ~rch 30, 19~!